More patients who stay in care.
More reviews that build trust.
Less you doing it manually.
Spokk is the all-in-one growth platform for mental health practices -- feedback collection, AI-powered Google reviews, SMS automation, patient retention, and referral programs. All in one place.
No credit card required Β· All features included Β· Cancel anytime
Your patients are deeply grateful. They just can't say that publicly.
Here's the unique problem mental health practices face with reviews: 84% of patients consult online reviews before choosing a healthcare provider. That number holds for mental health too -- maybe more so, because the stakes feel higher.
But here's the paradox. Your patients feel some of the most profound gratitude of any patient population. You helped them through something real. And yet they almost never leave a review. Not because they don't want to -- but because doing so means publicly admitting they see a therapist. And for a lot of people, that's still not something they want attached to their name online.
So your Google profile sits at 14 reviews from 2021, and every prospective patient who searches for you -- and 30% of people use Google to find mental health help -- lands on a profile that doesn't reflect the work you actually do.
The fix is a feedback-first flow that keeps patient privacy front and center. Spokk collects honest session feedback privately. Only patients who explicitly opt into leaving a review are taken to Google. And because Spokk's AI drafts the review based on what the patient already wrote -- in their own voice -- the path from βwilling to shareβ to βreview postedβ takes under 90 seconds.
The result: 83% of patients won't consider a provider with less than a 4-star rating. Getting to 4.8 with 60 reviews is the difference between getting found and getting skipped.
Deep dive: Google reviews for mental health clinics βFeedback is always private first. Only patients who rate positively and opt in are gently directed toward Google. The AI drafts the review from what they already wrote -- no blank page, no awkward oversharing. The result feels like a personal note, not a public announcement.
Half your patients will stop coming. Most of them before therapy actually works.
Let me be direct about this one. Mental health has the highest patient dropout rates of any healthcare specialty. Between 40 and 60% of patients drop out of mental health treatment -- and the majority leave before the evidence-based window of benefit (typically 8+ sessions) has passed.
Here's what makes it worse: forgetfulness is cited twice as often in psychiatry than in other medical specialties as a reason for missed appointments. Your patients aren't abandoning treatment -- they're forgetting to rebook, or life gets in the way between sessions, and the momentum is lost.
And the no-show rate in behavioral health? Anywhere from 30 to 50% of appointments in outpatient mental health settings. A 10-provider practice loses close to a million dollars a year to no-shows alone. That's real money. And more importantly, that's real patients not getting the care they need.
SMS changes this math. A clinical study on mental health specifically found that text reminders reduced no-show rates at a community adult mental health service from 18.55% to 7.01%. That's not a rounding error. That's a fundamentally different practice.
Spokk automates the follow-up sequence every practice means to do but rarely has the bandwidth to pull off -- post-session feedback, gentle check-in, review nudge, referral ask. You set it up once. It runs after every single appointment, for every single patient.
Deep dive: SMS automation for mental health practices βSteps skip automatically based on patient actions -- the review nudge only fires if the patient submitted positive feedback. No tone-deaf messages at the wrong moment.
Your patients won't tell you it's not working. They'll just quietly stop coming.
Here's a dynamic that's unique to mental health: your patients are conditioned to be emotionally considerate. They're not going to tell you mid-session that they feel like the last three weeks haven't been useful. They'll nod. They'll say βyeah, that makes sense.β And then they'll stop booking.
The therapeutic relationship is the strongest predictor of treatment success -- patients who rate the therapeutic alliance highly are 7 times more likely to experience positive outcomes. Which means alliance issues that go unchecked don't just cost you a patient -- they cost that patient their progress.
Catching a disconnect early -- a feeling that sessions aren't focused enough, that the pace is off, that a patient doesn't feel heard -- gives you a chance to adjust before they disengage. That's what post-session feedback does. Not as surveillance. As a clinical tool.
Spokk's feedback form is simple and mobile-first -- patients tap a rating after their session, select what worked or didn't, and leave an optional note. You see everything in your dashboard, broken down by therapist, session type, and trend over time. When a patient's satisfaction starts dipping across three consecutive sessions, you know before they ghost you.
Deep dive: Patient feedback for mental health clinics βRewarding consistency -- and turning happy patients into your best referral source
Loyalty rewards for consistent attendance
Here's a take you might not have considered: a loyalty program in mental health isn't about making therapy feel transactional. It's about creating a positive feedback loop for something patients already struggle with -- showing up consistently.
Spokk's check-in system tracks session attendance via QR code. When a patient hits a milestone you define -- say, 8 consecutive sessions -- they get an automatic SMS acknowledging it. You choose the reward: a discount on a session, a wellness resource bundle, a simple message of recognition. The gesture alone matters more than the dollar value.
Healthcare loyalty programs are proven to reduce no-shows and improve treatment completion. Approximately 10% of patient appointments result in no-shows, and attendance-based recognition meaningfully reduces that number. Fully automated. No admin work.
Deep dive: Patient loyalty programs βReferrals that respect patient privacy
Word-of-mouth is the single biggest source of new therapy patients. 1 in 3 people find their therapist through a personal recommendation. The challenge is that most patients don't feel comfortable saying βI see a therapist, you should go too.β But they will share a code if the framing is right.
Spokk sends a referral SMS with thoughtful, stigma-neutral language -- something like βknow someone who could use a bit of support?β -- along with a unique code. When the referred person books, mentions the code at check-in, and visits, both parties get a reward automatically. The referrer never has to explain why they were there. The referral still happens.
Deep dive: Patient referral programs βKnow which therapists patients connect with -- and which ones are quietly losing them
This one is delicate, and I get that. Comparing therapists by patient satisfaction scores sounds reductive. But hear me out, because the alternative is worse: not knowing that one clinician is consistently generating early dropouts until you've lost a dozen patients who never said why they left.
The therapeutic alliance -- how much a patient feels understood, respected, and connected to their therapist -- is the strongest predictor of treatment success across all therapy modalities. A mismatch doesn't mean the therapist is bad. It might mean they need support with a particular presentation. Or that a patient needs to be matched differently. You can't fix what you can't see.
Spokk links every piece of patient feedback to the specific clinician the patient saw. You get satisfaction scores per therapist, broken down by rapport, session quality, and feeling heard. You spot trends before they become attrition. And your high performers -- the ones consistently rated 4.9 on connection -- get recognised, which matters for retention in an industry facing 52% therapist burnout rates.
Look -- this isn't surveillance. It's clinical intelligence. The goal is the same as yours: keep patients in care, support your team, deliver better outcomes.
Deep dive: Therapist performance tracking βDr. Nair's score is trending down. Spokk flags the pattern early -- so you can check in supportively before patients start dropping out quietly.
Explore every piece of the puzzle
Each page below goes deep on one specific challenge your practice faces. If you want the full picture, start here and follow the links.
Frequently asked questions
Everything you need to know before you start.
How does Spokk help mental health clinics get more Google reviews without compromising patient privacy?βΎ
Is it HIPAA-compliant to send SMS messages to mental health patients?βΎ
How does Spokk help reduce the no-show rate at a mental health clinic?βΎ
Can Spokk actually help with patient dropout, or is that a clinical problem, not a software problem?βΎ
What does the patient feedback form look like, and how long does it take?βΎ
How does the referral program handle the sensitivity around mental health stigma?βΎ
Does Spokk work for different types of mental health practices -- private therapy, psychiatry, group practice, community clinics?βΎ
How does the therapist performance tracking work, and is it intrusive?βΎ
How many mental health patients actually respond to a post-session SMS?βΎ
What does Spokk cost for a mental health practice?βΎ
How long does it take to set up Spokk for a mental health clinic?βΎ
Can Spokk handle telehealth and in-person sessions?βΎ
Starter
For solo operators & small teams
Billed $588/year
250 customers / month
Unlimited SMS included
- 250 customers / month
- 1 manager + 1 staff member
- Unlimited locations
- Dedicated toll-free SMS number (US & Canada)
- Full automation sequence
- AI review response drafts
- Loyalty & referral programs
- Feedback forms & QR codes
- HubSpot integration & API access
- Buy additional customer top-ups
Growth
For growing businesses & teams
Billed $984/year
500 customers / month
Unlimited SMS included
- 500 customers / month
- 2 managers + 2 staff members
- Unlimited locations
- Dedicated toll-free SMS number (US & Canada)
- Full automation sequence
- AI review response drafts
- Loyalty & referral programs
- Feedback forms & QR codes
- HubSpot integration & API access
- Buy additional customer top-ups
Pro
For high-volume businesses
Billed $1992/year
1,500 customers / month
Unlimited SMS included
- 1,500 customers / month
- 3 managers + 5 staff members
- Unlimited locations
- Dedicated toll-free SMS number (US & Canada)
- Full automation sequence
- AI review response drafts
- Loyalty & referral programs
- Feedback forms & QR codes
- HubSpot integration & API access
- Buy additional customer top-ups
All plans include a 14-day free trial. No charge until your trial ends. Questions?